I. Each nursing home, acute care hospital, residential care facility, specialty hospital, or other health care facility licensed under RSA 151 shall file health care data as required by the commissioner of health and human services, pursuant to RSA 126:27. This data shall include, but not be limited to: (a) Financial information for its preceding fiscal year, which the commissioner shall require to be in the form of a certified financial statement, including, but not limited to, costs of operation, revenues, assets, liabilities, fund balances, other income, units of services, and aggregate wage and salary data; (b) The type of ownership and name of owner; (c) The number and type of beds; (d) For hospitals, the data now collected not less than annually through the uniform hospital discharge data set as amended by rule pursuant to RSA 541-A; (e) For special hospitals with an average length of stay less than 30 days, data equivalent to the uniform hospital discharge data set and the annual hospital survey; (f) For facilities with an average length of stay of more than 30 days, including specialty hospitals and nursing homes, a uniform long-term care data set based on annual patient census, annual aggregated use data on patient days, and the discharges and admissions of the facility; (g) Disposition destination of each patient or resident admitted; (h) Charge data as follows: (1) Acute care hospitals and specialty hospitals with an average length of stay less than 30 days--charge by discharge; and (2) Specialty hospitals and nursing homes--average patient day charge; (i) Any demographic or diagnostic information necessary for the administration of this subdivision, including social security numbers if persons were given the option at the original point of collection to provide social security numbers voluntarily. II. In addition to the data listed in paragraph I, the commissioner of health and human services shall require all providers, including ambulatory care facilities, licensed or certified to practice in the state of New Hampshire to submit ambulatory health care data pursuant to a plan to collect such data developed by the health services planning and review board established by RSA 151-C:3. This plan shall be submitted to the commissioner of health and human services by December 1, 1990. III. [Repealed.] IV. (a) Health care data shall be submitted in accordance with rules adopted pursuant to RSA 126-S for the following entities: (1) Licensed hospitals, as defined in RSA 151-C:2, XX, and pursuant to the memorandum of understanding entered into by the insurance department and the department of health and human services. (2) Licensed health care providers, as defined by RSA 151-C:2, XXX, employed or legally controlled by a hospital with the exception of long-term care facilities. (3) Hospital-owned physician practices which shall include all physician practices that are owned or controlled by a hospital or a financial intermediary of a hospital. (4) Federally qualified community health centers as defined by section 330 of the Federal Public Health Service Act, 42 U.S.C. section 254b. (5) Community health centers. For the purposes of this paragraph, ""community health centers'' are non-profit community based providers of comprehensive primary and preventive health care services to the state's uninsured and Medicaid populations regardless of the patient's ability to pay, and are governed by boards of directors that are at least 51 percent composed of health center patients. (b) Hospitals shall submit the health care data required under this paragraph for the entities identified under subparagraphs (a)(1)-(3). Community health centers as identified under subparagraphs (a)(4) and (5) shall submit their health care data directly. The health care data shall include information for each service that includes dates of service, patient demographics, provider information, charge information, and clinical diagnosis, and procedure codes. Neither the state nor its agents shall collect or otherwise obtain direct personal identifiers in connection with any health care data relating to uninsured individuals. For the purposes of this section, ""direct personal identifiers'' includes information relating to an individual that contains primary or obvious identifiers such as the individual's name, street address, e-mail address, telephone number, and social security number. An individual's day of birth shall not be collected. V. (a) A hospital may submit an application to the insurance commissioner for a one-year exemption from some or all of the reporting requirements set forth in paragraph IV. The commissioner shall grant the exemption if the hospital establishes that the data reporting would: (1) Impose an undue economic burden on the hospital; (2) Adversely impact the hospital's ability to serve its patients; and (3) Cause the hospital to reduce the amount of health care services that are delivered. (b) To establish adverse impact and undue economic burden, the hospital shall demonstrate that it had an average operating margin of lower than one percent over the 3 preceding years. (c) A hospital may request an extension of the reporting requirements as set forth in paragraph IV of up to one year to make the technical changes required to meet such reporting requirements, if it establishes that there are special circumstances that make compliance impracticable.
I. Each nursing home, acute care hospital, residential care facility, specialty hospital, or other health care facility licensed under RSA 151 shall file health care data as required by the commissioner of health and human services, pursuant to RSA 126:27. This data shall include, but not be limited to: (a) Financial information for its preceding fiscal year, which the commissioner shall require to be in the form of a certified financial statement, including, but not limited to, costs of operation, revenues, assets, liabilities, fund balances, other income, units of services, and aggregate wage and salary data; (b) The type of ownership and name of owner; (c) The number and type of beds; (d) For hospitals, the data now collected not less than annually through the uniform hospital discharge data set as amended by rule pursuant to RSA 541-A; (e) For special hospitals with an average length of stay less than 30 days, data equivalent to the uniform hospital discharge data set and the annual hospital survey; (f) For facilities with an average length of stay of more than 30 days, including specialty hospitals and nursing homes, a uniform long-term care data set based on annual patient census, annual aggregated use data on patient days, and the discharges and admissions of the facility; (g) Disposition destination of each patient or resident admitted; (h) Charge data as follows: (1) Acute care hospitals and specialty hospitals with an average length of stay less than 30 days--charge by discharge; and (2) Specialty hospitals and nursing homes--average patient day charge; (i) Any demographic or diagnostic information necessary for the administration of this subdivision, including social security numbers if persons were given the option at the original point of collection to provide social security numbers voluntarily. II. In addition to the data listed in paragraph I, the commissioner of health and human services shall require all providers, including ambulatory care facilities, licensed or certified to practice in the state of New Hampshire to submit ambulatory health care data pursuant to a plan to collect such data developed by the health services planning and review board established by RSA 151-C:3. This plan shall be submitted to the commissioner of health and human services by December 1, 1990. III. [Repealed.] IV. (a) Health care data shall be submitted in accordance with rules adopted pursuant to RSA 126-S for the following entities: (1) Licensed hospitals, as defined in RSA 151-C:2, XX, and pursuant to the memorandum of understanding entered into by the insurance department and the department of health and human services. (2) Licensed health care providers, as defined by RSA 151-C:2, XXX, employed or legally controlled by a hospital with the exception of long-term care facilities. (3) Hospital-owned physician practices which shall include all physician practices that are owned or controlled by a hospital or a financial intermediary of a hospital. (4) Federally qualified community health centers as defined by section 330 of the Federal Public Health Service Act, 42 U.S.C. section 254b. (5) Community health centers. For the purposes of this paragraph, ""community health centers'' are non-profit community based providers of comprehensive primary and preventive health care services to the state's uninsured and Medicaid populations regardless of the patient's ability to pay, and are governed by boards of directors that are at least 51 percent composed of health center patients. (b) Hospitals shall submit the health care data required under this paragraph for the entities identified under subparagraphs (a)(1)-(3). Community health centers as identified under subparagraphs (a)(4) and (5) shall submit their health care data directly. The health care data shall include information for each service that includes dates of service, patient demographics, provider information, charge information, and clinical diagnosis, and procedure codes. Neither the state nor its agents shall collect or otherwise obtain direct personal identifiers in connection with any health care data relating to uninsured individuals. For the purposes of this section, ""direct personal identifiers'' includes information relating to an individual that contains primary or obvious identifiers such as the individual's name, street address, e-mail address, telephone number, and social security number. An individual's day of birth shall not be collected. V. (a) A hospital may submit an application to the insurance commissioner for a one-year exemption from some or all of the reporting requirements set forth in paragraph IV. The commissioner shall grant the exemption if the hospital establishes that the data reporting would: (1) Impose an undue economic burden on the hospital; (2) Adversely impact the hospital's ability to serve its patients; and (3) Cause the hospital to reduce the amount of health care services that are delivered. (b) To establish adverse impact and undue economic burden, the hospital shall demonstrate that it had an average operating margin of lower than one percent over the 3 preceding years. (c) A hospital may request an extension of the reporting requirements as set forth in paragraph IV of up to one year to make the technical changes required to meet such reporting requirements, if it establishes that there are special circumstances that make compliance impracticable.
I. Each nursing home, acute care hospital, residential care facility, specialty hospital, or other health care facility licensed under RSA 151 shall file health care data as required by the commissioner of health and human services, pursuant to RSA 126:27. This data shall include, but not be limited to: (a) Financial information for its preceding fiscal year, which the commissioner shall require to be in the form of a certified financial statement, including, but not limited to, costs of operation, revenues, assets, liabilities, fund balances, other income, units of services, and aggregate wage and salary data; (b) The type of ownership and name of owner; (c) The number and type of beds; (d) For hospitals, the data now collected not less than annually through the uniform hospital discharge data set as amended by rule pursuant to RSA 541-A; (e) For special hospitals with an average length of stay less than 30 days, data equivalent to the uniform hospital discharge data set and the annual hospital survey; (f) For facilities with an average length of stay of more than 30 days, including specialty hospitals and nursing homes, a uniform long-term care data set based on annual patient census, annual aggregated use data on patient days, and the discharges and admissions of the facility; (g) Disposition destination of each patient or resident admitted; (h) Charge data as follows: (1) Acute care hospitals and specialty hospitals with an average length of stay less than 30 days--charge by discharge; and (2) Specialty hospitals and nursing homes--average patient day charge; (i) Any demographic or diagnostic information necessary for the administration of this subdivision, including social security numbers if persons were given the option at the original point of collection to provide social security numbers voluntarily. II. In addition to the data listed in paragraph I, the commissioner of health and human services shall require all providers, including ambulatory care facilities, licensed or certified to practice in the state of New Hampshire to submit ambulatory health care data pursuant to a plan to collect such data developed by the health services planning and review board established by RSA 151-C:3. This plan shall be submitted to the commissioner of health and human services by December 1, 1990. III. [Repealed.] IV. (a) Health care data shall be submitted in accordance with rules adopted pursuant to RSA 126-S for the following entities: (1) Licensed hospitals, as defined in RSA 151-C:2, XX, and pursuant to the memorandum of understanding entered into by the insurance department and the department of health and human services. (2) Licensed health care providers, as defined by RSA 151-C:2, XXX, employed or legally controlled by a hospital with the exception of long-term care facilities. (3) Hospital-owned physician practices which shall include all physician practices that are owned or controlled by a hospital or a financial intermediary of a hospital. (4) Federally qualified community health centers as defined by section 330 of the Federal Public Health Service Act, 42 U.S.C. section 254b. (5) Community health centers. For the purposes of this paragraph, ""community health centers'' are non-profit community based providers of comprehensive primary and preventive health care services to the state's uninsured and Medicaid populations regardless of the patient's ability to pay, and are governed by boards of directors that are at least 51 percent composed of health center patients. (b) Hospitals shall submit the health care data required under this paragraph for the entities identified under subparagraphs (a)(1)-(3). Community health centers as identified under subparagraphs (a)(4) and (5) shall submit their health care data directly. The health care data shall include information for each service that includes dates of service, patient demographics, provider information, charge information, and clinical diagnosis, and procedure codes. Neither the state nor its agents shall collect or otherwise obtain direct personal identifiers in connection with any health care data relating to uninsured individuals. For the purposes of this section, ""direct personal identifiers'' includes information relating to an individual that contains primary or obvious identifiers such as the individual's name, street address, e-mail address, telephone number, and social security number. An individual's day of birth shall not be collected. V. (a) A hospital may submit an application to the insurance commissioner for a one-year exemption from some or all of the reporting requirements set forth in paragraph IV. The commissioner shall grant the exemption if the hospital establishes that the data reporting would: (1) Impose an undue economic burden on the hospital; (2) Adversely impact the hospital's ability to serve its patients; and (3) Cause the hospital to reduce the amount of health care services that are delivered. (b) To establish adverse impact and undue economic burden, the hospital shall demonstrate that it had an average operating margin of lower than one percent over the 3 preceding years. (c) A hospital may request an extension of the reporting requirements as set forth in paragraph IV of up to one year to make the technical changes required to meet such reporting requirements, if it establishes that there are special circumstances that make compliance impracticable.
